Source	Repatriation Pharmaceutical Benefits
Body System	VARIOUS > ALL OTHER NON-THERAPEUTIC PRODUCTS > ALL OTHER NON-THERAPEUTIC PRODUCTS

Note

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
4598BMP	BANDAGE COMPRESSIONR bandage compression four layer bandage, 1 (PI, CMI)
	Available brands
	Profore Lite 66050415	5	5	0	$205.42	$7.70	$7.70

Source	Repatriation Pharmaceutical Benefits
Body System	VARIOUS > ALL OTHER NON-THERAPEUTIC PRODUCTS > ALL OTHER NON-THERAPEUTIC PRODUCTS

Note

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
4658EMP	BANDAGE COMPRESSIONR bandage compression four layer bandage, 1 (PI, CMI)
	Available brands
	Profore 66050016	5	5	0	$306.72	$7.70	$7.70